{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T13:42:35Z","timestamp":1780407755359,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>The sural neurovascular flap has been effectively used to reconstruct complex tibial and soft tissue defects caused by severe trauma, promoting successful wound repair and healing. Proactive management is essential in minimizing postoperative complications and achieving optimal outcomes. This study evaluates the efficacy and long\u2010term outcomes of sural neurovascular flap applications in distal lower limb wound reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Our institution's ethics committee approved this retrospective study numbered YJ202457 involving 47 participants. Informed consent was obtained from all subjects. Data collected included demographic details, injury mechanisms and sites, mode and size of soft tissue defects, complications, cosmetic outcomes, and functional outcomes of the lower limb and ankle. All flaps were performed by a single surgeon, with follow\u2010up from January 2012 to February 2018.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>The study observed minor complications, primarily superficial necrosis. Over 95% (45) of flaps survived, and less than 5% (2) required reoperations due to superficial necrosis. Patient satisfaction was high, with over 50% (24) achieving excellent cosmetic results and over 40% (20) good cosmetic results. The study recorded improved Functional Recovery and Quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sural neurovascular flap applications show significant promise in reconstructing distal lower limb wounds. Our findings highlight the procedure's efficacy, demonstrated by high patient satisfaction, excellent cosmetic outcomes, and favorable functional results. Critical factors for success include meticulous patient selection, thorough debridement, and careful planning to mitigate risks and optimize outcomes. The patients with diabetes and hypertension were not included to minimize factors that could interfere with the study's results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.70753","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T23:49:01Z","timestamp":1746488941000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Long\u2010Term Efficacy and Surgical Outcomes of Sural Neurovascular Flap Applications in Distal Lower Limb Wound Reconstruction: A Single\u2010Center Retrospective Study of Patients Treated in Jingzhou City From 2012 to 2018"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4429-7068","authenticated-orcid":false,"given":"Mohamed Lamin","family":"Bangura","sequence":"first","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Jingzhou, The First Affiliated Hospital of Yangtze University Jingzhou City China"},{"name":"Yangtze University Health Centre Jingzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li An","family":"He","sequence":"additional","affiliation":[{"name":"Gastrointestinal Surgery Department, Jingzhou Hospital Affiliated to Yangtze University Jingzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teng","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Jingzhou, The First Affiliated Hospital of Yangtze University Jingzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadiwa Chiedza","family":"Chirima","sequence":"additional","affiliation":[{"name":"Yangtze University Health Centre Jingzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sy\u2010Trung","family":"Tran","sequence":"additional","affiliation":[{"name":"Yangtze University Health Centre Jingzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Jingzhou, The First Affiliated Hospital of Yangtze University Jingzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Jingzhou, The First Affiliated Hospital of Yangtze University Jingzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong Li","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Jingzhou, The First Affiliated Hospital of Yangtze University Jingzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minglu","family":"Wang","sequence":"additional","affiliation":[{"name":"Yangtze University Health Centre Jingzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huasong","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Jingzhou, The First Affiliated Hospital of Yangtze University Jingzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"key":"e_1_2_19_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-018-2330-8"},{"key":"e_1_2_19_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2019.06.002"},{"key":"e_1_2_19_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.02.060"},{"key":"e_1_2_19_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30431"},{"key":"e_1_2_19_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-020-05452-y"},{"key":"e_1_2_19_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-020-02827-8"},{"key":"e_1_2_19_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2019.02.003"},{"issue":"7","key":"e_1_2_19_9_1","article-title":"A Single\u2010Center Surgical Experience With the Reverse Sural Artery Flap as a Reliable Solution for Lower Leg Soft Tissue Defects, With Minimum Two\u2010Year Follow\u2010Up","volume":"13","author":"Athanaselis E. D.","year":"2021","journal-title":"Cureus"},{"key":"e_1_2_19_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1938640018816378"},{"key":"e_1_2_19_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-021-02901-9"},{"key":"e_1_2_19_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2019.10.045"},{"key":"e_1_2_19_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13289"},{"key":"e_1_2_19_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13751"},{"key":"e_1_2_19_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1691785"},{"key":"e_1_2_19_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002069"},{"key":"e_1_2_19_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/10225536221111588"},{"key":"e_1_2_19_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1760828"},{"key":"e_1_2_19_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2020.07.001"},{"key":"e_1_2_19_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/03000605211017618"},{"key":"e_1_2_19_21_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.00648"},{"key":"e_1_2_19_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59101751"},{"key":"e_1_2_19_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-024-02481-5"},{"key":"e_1_2_19_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14142"},{"key":"e_1_2_19_25_1","doi-asserted-by":"publisher","DOI":"10.62347\/LSIM3562"},{"key":"e_1_2_19_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpra.2021.01.013"},{"key":"e_1_2_19_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2019.1673169"},{"key":"e_1_2_19_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534734619861018"},{"issue":"9","key":"e_1_2_19_29_1","article-title":"Innovative Synchronous Use of a Reverse Sural Flap and Reverse Hemisoleus Muscle Flap for Post\u2010Traumatic Lower Leg Reconstruction: A Case Report With a Long Term Follow\u2010Up and a Quality of Life Assessment","volume":"16","author":"Rams D. J.","year":"2024","journal-title":"Cureus"},{"key":"e_1_2_19_30_1","unstructured":"H. Y.Zhong Y.Chen X. Y.Du et al.Zhonghua shao shang yu chuang mian xiu fu za zhi 39 no.10(2023): 939\u2013946."},{"key":"e_1_2_19_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-023-07097-z"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.70753","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T12:06:24Z","timestamp":1763726784000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.70753"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/hsr2.70753"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.70753","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2024-07-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70753"}}